WEEK 1 DISCUSSION PART 1 Assignment Example | Topics and Well Written Essays - 500 words

WEEK 1 DISCUSSION PART 1 - Assignment Example Its forward supply chain involves transfer of products to consumers while reverse supply chain involves transfer of products from consumers to the organization for recycling or as return inwards. The forward supply chain involves ordering of products via mail or electronic methods. A first in first out inventory management follows in processing and delivery of the orders, though the organization observers some flexibility. In cases of lack of inventory, a supplier is sought through an online system. The supply chain involves â€Å"postponement,† and â€Å"modularity† (Kumar and Graig, 2007, p. 200, 201). The organization’s suppliers and consumers who determine the volumes of required inventory manage inventory, and products are transported through shipments. The supply chain also involves a series of partnerships with â€Å"suppliers, service providers, shipping companies, and customers† (Kumar and Graig, 2007, p. 203). I could redesign the company’s supply chain through application of the six-sigma approach. The new design would involve a monitoring and evaluation department that would identify ideal supply chain processes and actual deviations from the ideals. The department would also explore periodic changes in supply chain processes and identify significance of those changes with respect to consumers’ expectations in order to eliminate inefficiencies and facilitate cohesion among involved processes and stakeholders. The design will also evaluate suppliers’ efficiency levels to identify the most reliable suppliers for long-term partnerships, contrary to the current short-term partnership approach. This is because long-term partnerships increase commitments towards efficiencies. Inputs and outputs will however remain the same since they are determined by demand (Bandyopadhyay and Jenicke, 2007). The design will involve both domestic and global operations. The need for global operations will extend the analytical approach to the corporation’s

Breastfeeding vs Formula Essay Example for Free

Breastfeeding vs Formula Essay Deciding whether to breastfeed or provide formula milk is a major decision amongst new mothers. As simple as it may seem, the decision to breastfeed versus formula feed babies can be difficult and one of the most important decisions a mother can make. While there is nothing wrong with giving babies formula milk, breastfeeding should be the number one choice for mothers. As breast milk provides more nutrients, is naturally produced by mothers and is less expensive, breastfeeding is more beneficial than formula milk. When examining the benefits of breastfeeding as opposed to formula milk, breast milk tops the list with the nutrients and antibodies it provides. As breast milk contains antibodies that formula milk does not, this provides extra protection for babies against diseases and viruses. The first milk a baby receives while breastfeeding is colostrum. Colostrum is rich in nutrients and the mother’s own disease-preventing antibodies which may protect the baby from certain viruses (Kutner, 2012). Thus, breastfeeding babies contribute to building babies’ immune systems. As the breast milk matures, â€Å"the cells, hormones, and antibodies [in breast milk]†¦protect babies from illness† (Womenshealth. gov, 2011). This combination is unique to breast milk and is not contained in formula milk. On the other hand, some formula milk does contain more vitamin D than breast milk, which is essential in building strong bones. In addition, formula milk also contains fluoride which is important for healthy teeth. However, both nutrients can be provided to babies as a supplement if they are needed. Formula milk does not contain the antibodies that breast milk has which contributes to a healthier, less sick baby. Breast milk is produced naturally by mothers and is designed especially for babies whereas formula milk is manufactured. Since breast milk is unique to each mother and child, there is no worry about the baby having an allergic reaction to the milk or not able to consume it. Unlike manufactured formula milk, breast milk also decreases allergies some babies develop from being exposed to allergens from other milk products. â€Å"By postponing the introduction of allergens into the child’s body until they are more mature, the risk of them developing an allergy is significantly reduced† Netdoctor pg. ( 30-04- 2010). In addition, breast milk is also easier for babies to digest than formula milk. As the mother’s milk matures, it contains a natural balance of fat, sugar, water and protein to help [babies] continue to grow (U. S. Department of Health and Human Services Office on Women’s Health, 2011). Because breast milk is easier for babies to digest, breastfed ba bies are less likely to experience constipation and other gastric irritations as opposed to babies that are fed formula milk. On the other hand, since it takes longer for formula milk to digest, babies could go a little longer between feedings. However, mothers face a bigger risk of having a fussy baby because of gas and constipation as a result of the difficulties babies may have digesting the formula milk as opposed to the easier digested breast milk. Since breast milk is produced by mothers, there is a less likely chance of contamination than formula milk. Formula milk is manufactured, which leaves room for the formula milk to get contaminated by different bacteria that can be very harmful to a baby. Bacteria such as Salmonella can unintentionally get in manufactured milk and cause serious health issues for babies. In addition, there is no real way of knowing what products are used to make formula milk. Pat Thomas (2006) states, â€Å"Formula may also contain unintentional contaminants introduced during the manufacturing process. Some may contain traces of genetically engineered soya and corn. † Even though the package may list the main ingredients, there are other things used that may be unknown. By breast feeding, mothers have a greater control of what enters their babies’ body. As breast milk is produced naturally by mothers, breastfeeding is less expensive and more convenient for mothers than formula milk. Since the breast milk is produced by mothers, it is a free source of milk as opposed to the cost associated with buying formula milk. The cost of formula averages between $1,000 and $1,500 for the first year of a baby’s life. Schoenstad pg. 1 (31-07- 2009) Since a mother is breastfeeding, the need for bottles and nipples is not as high as opposed to the requirement of having bottles and nipples in order to feed babies formula milk. In addition, since breast milk contains antibodies that promote healthier babies, medical bills are lower. Breastfeeding is also more convenient for mothers as opposed to feeding babies formula milk. Unlike formula milk, mothers do not have to worry about measuring, mixing and warming the milk before feeding their babies. The breast milk is right at hand when it’s needed. Even for working mothers, they are able to pump the breast milk and store for a later time. Since the milk is already prepared, there is less worry that others may not mix the baby’s milk correctly. Breastfeeding also provides time for mother and baby to bond while allowing the mother to relax. On the other hand, feeding babies formula milk, allows others the opportunity to feed the baby while taking the pressure off of mom. Lawrence Kutner (2012) states, â€Å"One of the advantages of [formula]-feeding is that it allows fathers to spend more time caring for their baby†. However, mothers can pump and store breast milk to allow fathers and other relatives feeding time with the baby. Thus, by breast feeding as opposed to providing formula milk, mothers are able to save money while also saving time. In conclusion, as breast milk provides more nutrients and antibodies, is naturally designed for babies, cost less and saves times, the benefits of breastfeeding outweighs formula milk. The nutrients and antibodies produced in breast milk contribute greatly to a healthier baby. Because breast milk is produced naturally, it is designed especially to meet the baby’s needs and is readily available. Mothers do not have to worry about the high cost of formula milk and spend less time measuring and mix milk. As mothers breastfeed their infants, a bond is developed that outweighs any advantages formula milk provides. ?

Alzheimer’s Disease Case Study

Alzheimer’s Disease Case Study B. Trimble Case Study M. T. an 86-year-old Asian male is brought into the geriatric clinic by his daughter because he is becoming more forgetful. The daughter explains that the patient often does not even recognize his own grandson. When asked, however, the patient denies memory impairment. The daughter states that her father has been having trouble for almost four years now. She said she did not realize how much her father had changed until she watched a home video of her father with his grandson from six years ago. â€Å"His personality has even seemed to have changed, said the daughter. M.T. is no longer able to take care of his house and household chores and is sometimes slow to respond to questions. Past Medical History Peptic Ulcer Disease (PUD) with the last occurrence three years ago. Social History Retired sanitation worker times fifteen years. Lives with his daughter since his wife died five years ago. Previous cigarette smoker quit fifteen years ago. Denies ethyl alcohol (ETOH), and intravenous drug abuse. Family History Father died in combat in Korea Mother died at age 92, unknown cause Medications and allergies NKDA Prevacid 30 mg orally once daily Mylanta 30 ml orally as needed for stomach upset Aspirin EC 81 mg orally once daily Tylenol 325 mg orally as needed for headache Physical Examination General – patient is a thin, pleasant man, with working memory in no acute distress. Vital signs – BP 145/78 , pulse 80 RR 17 , WT 70 kg , Ht 6’2† BMI 19.8 HEENT- Pupils PERLA Ears with cerumen Neck no bruit no JVD Cardiovascular – Normal sinus rhythm, S1 S2, negative for S3/S4, resp RRR Neuro – Aox1 (Oriented to person only), CN – XII – XII intact, reflex normal Abdomen – positive bowel sounds, non-tender, non-distended External – WNL, no clubbing, cyanosis, or edema Laboratory Tests Albumin – (3.6-5 g/dL) 3.6g/dL total protein – (6.3-8.2g/dL) 6.8g/dL Alk Phos – (38-126U/L) 41U/L ALT – (7-58 U/L) 21 U/L AST – (7-58 U/L) 21 U/L bilirubin – (0.2-1.3ug/dL) 0.3ug/dL BUN – (8-25mg/dL) 11mg/dL HgB – (13.2-15.2 g/dL) 13.5g/dL SCr- (0.5-1.4mg/dL) 0.7mg/dL Hct (40-52%) 39% Na+ (134- 146 mEq/dL) 136 mEq/dL Plts – (140-450 mm3) 300,000/mm2 Cl-(98-107mEq/dL) 103 mEq/dL WBC – (4.1-10.9mm3) 8700/mm2 Bicarb – (22-26 mEq/dL) 24 mEq/dL ESR – ( Glucose – (65-110mg/dL) 101mg/dL B12 – (223-1132 pg. /ml) 452pg/ml Ca- (8.9-10.4 mEq/dL) 8.5 mEq/dL folate – (3.6-20ng/dL) 6.4ng/dL Mag – (1.6-2.4mEq/dL)1.9 mEq/dLFTI – (4-11) 6.3 Phos (2.5-4.5 mg/dL) 3.3 mg/dLT3 – (75-220ng/dL) 101ng/dL Cholesterol- (T4 – (4-11mEq/dL) 6.1 mEq/dL TSH – (0.35-6.2 microU/uL) 2.0 micro Unit/uLRPR – non-reactive Radiology Testing CT scan impression mild cortical atrophy Diagnosis Dementia (senile dementia) is a syndrome rather than a distinct disease entity. It is usually progressive and irreversible. It is characterized by a general decline in cognitive abilities that may include losses of memory, abstract reasoning, judgment, and impulse control, as well as changes in personality. It is usually subtle in onset and often progresses slowly until symptoms are very obvious and profoundly devastating. The three most common dementias are Alzheimer’s disease, multi-infarct dementia, and a mixed Alzheimer’s disease and multi-infarct dementia (Cayton, Graham, Warner, 2004). Alzheimer’s disease is sometimes called primary degenerative dementia or senile dementia of the Alzheimer’s type. It accounts for at least 80 percent of all the dementias suffered by the elderly (Whalley, Lawrence, Breitner, 2009). It is a progressive, irreversible, degenerative neurologic disease of unknown origin that begins insidiously. The highest incidence is among persons 65 years and older with increasing incidence after age 70. The life expectancy following the diagnosis varies from six to twenty years (Whalley, Lawrence, Breitner, 2009). The etiology of the disease is unknown, but there are specific neuropathologic and biochemical changes. These include neurofibrillary tangles and senile or neuritic plaques. This neuronal damage occurs primarily in the cerebral cortex and results in decreased brain size. These changes are found to a lesser extent in normal brain tissue of older adults. Cells principally affected by this disease are the ones that use the neurotransmitter acetylcholine. Biochemically, the enzyme active in producing acetylcholine is decreased. Acetylcholine is specifically involved in memory processing (Whalley, Lawrence, Breitner, 2009). Clinical manifestation Symptoms of Alzheimer’s disease are highly variable. Early in the disease, forgetfulness and subtle memory loss occur, but the victim has adequate cognitive function to hide the loss. Social skills and behavior patterns remain intact; problems are difficult to detect on casual observation (Cayton, Graham, Warner, 2004). With further progression of the disease there is an inability to conceal the deficits. Forgetfulness is manifested in many daily actions. The victim may lose his way in a familiar environment. He may repeat the same stories because he forgets that he told them. Reasoning and reality orientation by caregivers increase the patient’s anxiety without increasing function, because this is also forgotten (Cayton, Graham, Warner, 2004). Conversations become difficult because the victim forgets what he was about to say or may not be able to remember words. Ability to formulate concepts and think abstractly disappears (Cayton, Graham, Warner, 2004). The person can interpret a proverb only in concrete terms. The victim is often unable to appreciate the consequences of his actions and will therefore exhibit impulsive behavior. He will have difficulty with everyday activities such as working simple appliances and handling money (Cayton, Graham, Warner, 2004). Personality changes are usually negative. The patient may become depressed, suspicious, paranoid, hostile, and even combative (Whalley, Lawrence, Breitner, 2009). Progression of the disease intensifies the symptoms. Speaking skills deteriorate to nonsense syllables; agitation and physical activity increase. A voracious appetite often develops because of the high activity level. The patient may wander at night for hours. Eventually he will need help in all areas of personal care including toileting and eating; dysphagia occurs and incontinence develops. The terminal stage may last for months (Cayton, Graham, Warner, 2004). Treatment Treatment for dementia of the Alzheimer’s type will be Aricept 5 mg once daily at bedtime. After four weeks symptoms will be reviewed, and titration to ten mg once daily may be initiated, depending upon results. Maximum dosage of 23 mg daily if needed after three months of 10-mg treatments (Katzung, Mastes, Trevor, 2012). Follow up in office in four weeks. Discontinued use of Prevacid, as the medication is implicated in low platelet, WBC, HgB and Hct, calcium, and B12 levels (Brunton, Chabner, Knollman, 2011). Follow-up blood work in four weeks, should include CBC with differential, CMP, liver panel, weight, and blood pressure. Patient is borderline hypertensive and increase in fluid volume may correct this issue. Patient should be encouraged to change diet to a high-protein diet with adequate hydration. If platelet count and WBC count continue to be below normal a hematology consult will be discussed. Referral to Alzheimer’s support group will be given to the daughter. References Brunton, L., Chabner, B., Knollman, B. (2011). Goodman Gilmans: The pharmacological basis of therapeutics (12 ed.). McGraw-Hill. Cayton, H., Graham, N., Warner, J. (2004). Dementia: Alzheimers and other dementias: At your fingertips guide (2 ed.). London: Class. Katzung, B., Mastes, S., Trevor, A. (2012). Basic clinical pharmacology (12 ed.). McGraw-Hill. Whalley, L., Lawrence, J., Breitner, J. (2009). Dementia (2 ed.). Health Press.

The Great Gatsby :: The Great Gatsby F. Scott Fitzgerald

I. Francis Scott Key Fitzgerald, born in St. Paul, Minnesota, grew up in an upper-middle class family where he enjoyed the traditions of the upper classes, but not the financial ability to uphold those practices. Fitzgerald acquired his fame, almost overnight, with the publication of his first book, This Side of Paradise, in 1920. His extensive career began with the writing of stories for mass-circulation magazines, such as The Saturday Evening Post. That same year, he married Zelda Sayre, who later became one his major influences on his writing, along with literature, Princeton, and alcohol. In the summer of 1924, Fitzgerald wrote The Great Gatsby, a novel about the American dream. This novel was written in Fitzgerald's own time. The reader is able to see his insight and artistic integrity in the way that which the novel is composed. He brings forth the values that he embraced at least partially in his own life, such as materialism and the magic of wealth, which are clearly placed i n the characters of The Great Gatsby. The novel is almost a paradox of his own biography: a unique materialism in which men attempt to create happiness from material achievement. The novel received the most striking critical appraisal, just as predicted by Fitzgerald. This honorary event marked the climax of his fame, however, his reputation faded from then on. With the illness of his wife, he reflected his experiences in his further work, such as Tender Is the Night. Some other examples of his work include The Beautiful and Damned and The Love of the Last Tycoon. At the age of forty-four, Fitzgerald dies of a heart attack. Since his death, critics have come to see his work as a reflection of the American culture and of "The Twenties", a noteworthy representation of his people that is saturated with meaning today. II. The story of Gatsby takes place in the 1920's, a time that began with the closing of the bloodiest conflict the world had ever witnessed. The European society had suffered spiritually from the effects of World War I, yet life in America became a time of material demand. The twenties are best known as a decade when American business was riding high and increases in productivity brought hundreds of new products within the reach of the average consumer. The widespread impact of the stock market downturn heightened the popular view of the importance of the economy during the 1920's.

Ben and Jerry

Ben and Jerry’s ice-cream company is well known for its sales in the USA, Europe, and Asia. They are a very well established, successful, global operation. Since 2000, the company has continually improved their ice-cream brands. They sell its named ice-cream and frozen yogurt under brand names such as Chunky Monkey and Cherry Garcia. Chunky Monkey is banana ice-cream with fudge chunks and walnuts. In 2009, Chunky Monkey was named among the top ten best ice-cream flavors in London. Philanthropy is also a strength of Ben and Jerry’s ice-cream. The Company contributed $1,206,412 to the Ben & Jerry’s Foundation in 2002, as compared to $1,178,423 in 2001. Ben and Jerry’s divide the philanthropic pool of funds between the Foundation, Corporate Philanthropy, and employee Community Action Teams (CATs). The company sponsors many PartnerShops. Partnershops are Ben and Jerry’s scoop shop outlets which are independently owned and operated by nonprofit organizations. The organizations they partner with, work with youth that encounter barriers to employment. They use the scoop shops as a place to carryout hands-on job training. Ben and Jerry’s waive the franchise fee and provide additional financial support to their partners. They have more than 750 Scoop Shops worldwide. The company is involved in global warming campaigns. Ben and Jerry’s commitment is to reduce the company’s carbon dioxide emissions by 10 percent. On many levels, their employees are directly involved to help make this commitment happen. After twenty-five years of independent operation, Ben and Jerry’s were bought out by Unilever, the Anglo-Dutch multinational consumer products firm for $325 million. Under the deal, Unilever gave Ben and Jerry’s shareholders $43. 60 per share. Through it all, Ben and Jerry’s were able to retain their social responsibility stand. They were able to keep the co-founders involved with product development. Ben and Jerry’s brands complemented Unilever’s ice-cream brands. In the past, Ben and Jerry’s have lacked professionalism from their upper management. In 2006, the company’s former CFO, Stuart Wiles, was found guilty of embezzling some $300,000 from the company during his tenure which ran from 2000 to 2004. He spent the money on car repairs, gifts, vacations, entertainment, clothing – and even a $58,000 addition to his home. He was sentenced to twenty-seven months in prison. Also, in 2006, they had to stop using Michael Foods as their egg supplier. An animal welfare campaign pressured Ben and Jerry’s to dump the egg producer accused of mistreating its chickens. An undercover video, showed dead and dying chickens stuck in their cages. Ben and Jerry’s bought about two million pounds of eggs per year from the supplier. Despite several corporate weaknesses, the company achieved success. In 1994, Ben and Jerry’s reinvested large amounts of money into property and equipment. By purchasing the property and equipment, they increased their long-term debts by almost 45 percent. They also increased their marketing and selling expenses. They thought it would be best to take out an immense amount of capital lease to automate production. They saw the need to do this so they could keep up with the intense competition. In today’s health conscious society, Ben and Jerry’s have introduced more fat-free and healthy alternative ice-cream and frozen yogurt products. These low-fat, no-fat products still contain the creamy richness and unbeatable quality, but only have three grams of fat per serving. Ben and Jerry’s also provide allergen free food items, such as gluten free and peanut free. In 2008, Ben and Jerry’s acquired Best Foods and Slim-fast. Slim-fast happens to be one of Unilever’s top-performers allowing them to enter a new industry of weight loss products. In turn, Unilever can now expand into more countries like Europe, where weight loss management is taking hold. In 2009, Ben and Jerry’s announced plans to introduce the country’s first HFC-free freezer. These freezers do not emit harmful chemicals into the atmosphere. Most freezers in the U. S. use hydro fluorocarbon gases to generate cooling. These HFC’s have a significant downside. HFCs are among a group of refrigerants, known as â€Å"F-gases†, highly potent greenhouse gases. The most commonly used HFC has a global warming potential (GWP) of 3,200. This means that a ton of this gas in the atmosphere has the same global warming effect as 3,200 tons of carbon dioxide. Over time, all those leaking freezers can make a significant contribution to the problems of global warming.

Alligators and Crocodiles Essay Essay Example

Alligators and Crocodiles Essay Essay Example Alligators and Crocodiles Essay Essay Alligators and Crocodiles Essay Essay Not many people can distinguish between a crocodile and an alligator. Alligators and crocodiles are similar but different in so many ways. In this paper I will discourse the alligator and crocodile similarities and differences. If you see an alligator or a crocodile could you state the difference? The ways you can state the difference in an alligator and a crocodile is the neb. centripetal cavities. salt secretory organs on lingua. jaws and dentition. Besides in this paper I will paint you a image of how the reptilians look and tell you the difference in the reptile’s size and home ground. Alligators are semi-aquatic carnivorous reptilians with four legs and a immense tail. Col. 2010 ) . The reptilian tail is half its length and it helps impel the alligator through the H2O. It is besides used as a arm and shops fat for the alligator which he will utilize for nutriment for the winter. They are coldblooded ( poikilothermic ) animate beings which do non do their ain organic structure heat but gain their heat by enjoying in the Sun. ( Col. 2010 ) . The Chinese alligator can turn between 6 pess long and American alligators are 13 pess long but can turn up to 19 pess. Crocodiles have big. wide organic structures with short legs and long. muscular tail. The crocodile has thick. leathery tegument with bony. plate-shaped graduated tables. ( Hayden ) . They are cold blooded animate beings that colour is either grey-green or brown. The crocodile have ears which are slits on the side of the caput that most of us do non see and let them to hold superb hearing. The crocodile caput is long and pointed with the eyes and anterior nariss located on the top of the caput. Crocodile can run from 7-15 pess long but neer halt turning and can populate up to 75 old ages. Alligator’s upper jaw is wider than the lower jaw and its lower dentition are largely hidden when oral cavity is closed and fit into sockets in the upper jaw but makes the 4th tooth on each sides of its lower jaw tantrum into a socket in the upper jaw. Turner ) . Alligators have a broad U-shaped short neb. Alligators have non-functional salt secretory organs and centripetal cavities that are merely near the jaws. ( Col. 2010 ) Crocodiles upper jaws is about the same size as the lower jaw which makes its lower dentition show outside the upper jaw when oral cavity is closed. ( Turner ) The crocodile upper dentition show outside the lower jaw but nebs are narrow. v-shaped and long. Crocodile salt secretory organs on the lingua excrete extra salt and the centripetal cavities are over most of the organic structure. Alligators are merely native to the United States and China but like to eat fish. polo-necks. assorted mammals. birds and other reptilians. The alligator lives merely in fresh Waterss like pools. fens. wetlands. rivers. lakes. and swamps. ( Lutz. 2012 ) . When on land the alligator is slow to travel but can travel reasonably rapidly in short distances. The alligators are normally lone animate beings but smaller 1s can be found in big Numberss near to each other. ( Lutz. 2012 ) Crocodiles live along the seashore of Florida. . Central America. and parts of South America. The crocodile may populate in brackish or salt-water that is warm and quiet such as Rhizophora mangle swamps that are largely found against the shorelines. ( Turner ) . Crocodile besides may populate where the river meets the sea known as estuaries. The crocodile eat fish and other animate beings that they find in or near the H2O. including polo-necks. serpents. little mammals. and birds. The reptilian does most of its hunting at dark which makes him nocturnal. Crocodiles are besides diffident. reclusive. and seldom seen by people but are still really aggressive. ( Hayden ) Since alligators and crocodile are both reptilians they are frequently easy mistaken. I hope by reading this you can now state the difference between an alligator and a crocodile. Alligators and crocodile physical visual aspect are really likewise but if you look at the reptilians you could easy indicate out what is different. The things that are different about them are the neb. salt secretory organs on lingua. centripetal cavities. jaws. and dentitions. Remember crocodiles are really aggressive so do non near them because they will assail. Now that you have a better visual of a crocodile and alligator. if you were to come into contact with one of the reptilians could you state the difference between the two.